Active NPI
E Brooks McMillan, NP
- Specialist
- Sequim, WA
National Provider Identifier
1063442374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AP30000992
- Practice address
- 512 East Washington St
Sequim, WA 98382 - Phone
- (360) 683-8544
- Fax
- (360) 683-8545
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AP30000992 | WA | Primary |
Addresses
Primary practice location
512 East Washington St
Sequim, WA 98382
Mailing address
PO Box 11648
Bainbridge Island, WA 98110-5648
Phone (360) 683-8544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000992 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Sleep Clinic, PLLC | Specialist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Bainbridge Island, WA
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- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1063442374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11648",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981105648",
"telephone_number": "360-683-8544",
"fax_number": "360-683-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 EAST WASHINGTON ST",
"city": "SEQUIM",
"state": "WA",
"postal_code": "98382",
"telephone_number": "360-683-8544",
"fax_number": "360-683-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "E",
"middle_name": "BROOKS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "AP30000992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.